Pay now (in the evening) or pay later with interest (in the middle of the night).
A 50 something male presented in the evening to ED for evaluation of chest pain that started at 1600. He states that it feels like burning and…
What does a final diagnosis of STEMI vs. NSTEMI depend upon?
Written by Pendell Meyers, few edits by Smith A woman in her 70s was woken from sleep by midsternal chest pain radiating to left arm with…
Baseline wander. But what else do you see?
Written by Magnus Nossen The below ECG was obtained from a 65 year old man with ongoing chest pain. He has a history of hypertension and…
A 40-something male with resolving chest pain and a “Normal ECG” by computer and cardiology overread
A 40-something male presented by ambulance with one hour of chest pain that was improving after sublingual nitroglycerine and 325 mg of…
Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.
I was reading EKGs on the system and saw this one….. What did I put in as my interpretation? Interpretation: “Acute LAD occlusion…
30 yo woman with trapezius pain. HEART Pathway = 0. Computer “Normal” ECG. Reality: ECG is Diagnostic of LAD Occlusion.
This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG…
Hyperacute T-waves — missed. Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) may be due to transient thrombotic Occlusion MI.
Coronary thrombosis (twice in the same patient!!) without a stenosis or even a culprit Do not miss the last image at the bottom that shows the…
Acute Chest pain which then resolves spontaneously
A 50-something woman presented with sudden onset of left sided chest pain while driving, radiating down left arm, in addition to feeling…
The ECG was correct. The angiogram was not.
This was sent by Cam Mosley and Michael Truax, LSU-Baton Rouge Residency. 74 yo male with previous MI years ago presented with chest pain and…
Series of Prehospital ECGs Showing Reperfusion
Medics recorded this ECG at time 0 in a patient with chest pain: There are inferior hyperacute T-waves, with reciprocally inverted hyperacute…